Predictors of Nonneurologic Complications and Increased Length of Stay After Cervical Spine Osteotomy

World Neurosurgery
J Mason DePasseAlan H Daniels

Abstract

Although previous studies have used National Surgical Quality Improvement Program (NSQIP) data to study complications of thoracolumbar spinal deformity surgery, investigation of cervical spine deformity surgery has been limited. We performed a retrospective analysis of the NSQIP database to identify predictors of complications after cervical spine osteotomy. Patients undergoing cervical spine osteotomy were identified in the NSQIP dataset using Current Procedural Terminology codes from years 2007-2016. For each patient, patient and case clinical characteristics, length of stay (LOS), and diagnosis of a nonneurologic complication (including reoperation and readmission) were abstracted. Patient and case clinical predictors of any of the reported complications and increased LOS were identified in multivariate logistic and Poisson regression analyses, respectively. There were 950 patients identified with mean age 56.1 ± 12.4 years and mean body mass index 29.9 ± 6.8. Mean LOS was 3.5 ± 4.9 days. Overall medical complication rate was 15.8%. The most common complications were transfusion (78; 8.2%), readmission (45; 4.7%), reoperation (32; 3.4%), and reintubation (28; 3.0%). Risk factors for any complication included increased age (P...Continue Reading

Citations

May 23, 2020·BMC Musculoskeletal Disorders·Austin Samuel Laifun LimJason Pui Yin Cheung
Aug 11, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Romaric WaguiaC Rory Goodwin

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